Provider Demographics
NPI:1538808613
Name:CHAMBERS, RACHEL L (COUNSELOR (ALC))
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:COUNSELOR (ALC)
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNN
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COUNSELOR (ALC)
Mailing Address - Street 1:PO BOX 1233
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36504-1233
Mailing Address - Country:US
Mailing Address - Phone:251-359-0201
Mailing Address - Fax:
Practice Address - Street 1:204 S PENSACOLA AVE
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-2545
Practice Address - Country:US
Practice Address - Phone:251-359-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ALALC04108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health